Whole-body F-FDG PET/CT in primary non-Hodgkin's lymphoma of the thyroid associated with Hashimoto's thyroiditis and bilateral kidney infiltration
作者： E. Roldán-Valadez , N. Ortega-López , E. Cervera-Ceballos , G. Valdivieso-Cárdenas , I. Vega-González
DOI: 10.1157/13114368
关键词:
摘要: An 82-year-old female patient with hypothyroidism and Hashimoto's thyroiditis noted three years ago to have a small asymmetric goiter (left > right). Nevertheless, rapid growth of the thyroid over 3-6 months caused dysphagia shortness breath. Ultrasound gammagram showed an image consistent multinodular hyperfunctioning nodule in right lobe. Due history increase size gland, diagnoses lymphoma anaplastic cancer were considered. Thyroidectomy was attempted at outside facility relieve compressive symptoms. Fine needle aspiration insufficient for diagnosis, product thyroidectomy confirmed diagnosis diffuse large B-cell lymphoma. A positron emission tomography/computed tomography scan performed our institution staging, revealing nodal extranodal metastasis. Chemotherapy using cyclophosphamide, vincristine dexamethasone (COP modified) led dramatic response tumor complete resolution
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